下尿路疾病预后与尿动力学检查指标的关系研究

目的:探讨下尿路疾病预后与尿动力学检查指标的关系.方法:以2014年3月~2015年6月在我院接受治疗的下尿路疾病患者为观察对象.所有患者均在治疗前行尿流动力学等检查.6个月后观察患者排尿症状改善情况;比较不同尿动力学指标的患者IPSS-S和OABSS得分的差异.结果:经过治疗后,58例患者IPSS-S评分明显改善,65例患者OABSS评分明显改善;治疗前,不同临床参数的BPH患者IPSS-S得分无明显差别,而治疗后有所降低,且治疗前逼尿肌压力≥40H2O、残尿量<50mL、最大尿流率≥15mL/s的BPH患者IPSS-S改善明显;治疗前,不同临床参数的BPH患者OABSS得分无明显差别,而治疗后,虽都降低,而治疗前逼尿肌压力≥40H2O、残尿量<50mL、最大尿流率≥15mL/s的BPH患者OABSS得分改善明显;将年龄、治疗前逼尿肌压力、残尿量、最大尿流率和膀胱体积作为自变量,将临床症状改善与否作为因变量,结果显示治疗前逼尿肌压力、残尿量和最大尿流率是影响患者治疗后症状改善的因素,OR值分别为4.685、4.957和5.263.结论:下尿路疾病患者的预后与治疗前尿动力学指标密切相关,可作为预测患者预后的指标.

Study on the relationship between lower urinary tract disease prognosis and urodynamic index

Objective To explore the relationship between lower urinary tract disease prognosis and urodynamic index. The lower urinary tract disease method in Methods 2014~2015 year in June in our hospital for treatment as the observation object. All patients were underwent urodynamic examination. After 6 months to observe the voiding symptoms to improve the situation; to compare the differences among different urodynamic indexes in patients with IPSS-S and OABSS. Results After treatment, 58 cases of patients with IPSS-S score improved significantly, 65 cases of patients with OABSS score improved sig-nificantly; Before treatment, the different clinical parameters of patients with BPH IPSS-S score had no significant difference, and after treatment decreased, and the treatment of detrusor pressure was greater than or equal to 40H2O, residual urine volume<50mL, maximum urinary flow rate was more than or equal to 15mL/s BPH patients IPSS-S improved; Age, treatment of detru-sor pressure, residual urine volume, maximal urinary flow rate and volume of bladder as independent variables, clinical symptom improvement and not as dependent variable. The results showed that the treatment of detrusor pressure, residual urine volume and maximum urinary flow rate was the effect after treatment in patients with symptomatic improvement factors. The or value were 4.685, 495.7 and 5.263. Conclusion The prognosis and treatment of patients with urinary tract diseases before urodynamic parameters are closely related, can be used as indicators to predict patient prognosis.